NPI | 1265557672 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE SCHUMAKER President 847-223-4212 |
Organization Subpart ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: WA 3326) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL LS93040599P) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2011-09-23 |